Individual
AMANDA SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032241345
BCBS
IL
01
—
0081646702
BCBS
IL
Enumeration date
08/17/2006
Last updated
10/17/2012
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